Dr Leland E Wommack, DDS is a
Dentist - General Practice based in Lone Star, Texas. Dr Leland E Wommack is licensed to practice in Texas (license number 16028) and his current practice location is
408 South Main Street, Lone Star, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 656-8738.
NPI number for Dr Leland E Wommack is 1003984345 and his current mailing address is Po Box 1350, Lone Star, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003984345.
Healthcare Provider's Profile
| Full Name | Dr Leland E Wommack |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 408 South Main Street, Lone Star, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003984345
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Leland E Wommack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003984345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 16028 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leland E Wommack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Leland E Wommack, DDS
Po Box 1350,
Lone Star, TX 75668-1350
Ph: (903) 656-8738 | Dr Leland E Wommack, DDS
408 South Main Street,
Lone Star, TX 75668
Ph: (903) 656-8738 |
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